Clinical Indicator Report - Mediclinic Newcastle - October 2024 PDF

CLINICAL INDICATOR REPORT MEDICLINIC NEWCASTLE RESULTS FOR THE PERIOD ENDING: OCTOBER 2024 SECTION A: CLINICAL PERFORMANCE INDICATOR DETAIL OPERATIONAL OVERVIEW Month-on-Month Comparisons 12 Month Roll...

CLINICAL INDICATOR REPORT MEDICLINIC NEWCASTLE RESULTS FOR THE PERIOD ENDING: OCTOBER 2024 SECTION A: CLINICAL PERFORMANCE INDICATOR DETAIL OPERATIONAL OVERVIEW Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Aug '24 Sep '24 Oct '24 Total Total Trend Number of Hospital Admissions 1 029 1 032 1 030 -0,19% 11 962 12 419 3,82% Number of Daycases 100 96 103 7,29% 1 152 1 186 2,95% Number of Inpatient (Overnight) Cases 929 936 927 -0,96% 10 810 11 233 3,91% Daycase/Inpatient Split (%) 10/90% 9/91% 10/90% 10/90% 10/90% Number of Medical Cases 586 553 594 7,41% 6 928 6 934 0,09% Number of Surgical Cases 443 479 436 -8,98% 5 034 5 485 8,96% Medical/Surgical Split (%) 57/43% 54/46% 58/42% 58/42% 56/44% Number of Emergency Centre Cases 822 713 741 3,93% 10 457 9 475 -9,39% Number of Ambulatory/Outpatient Cases 4 8 11 37,50% 174 93 -46,55% Number of Vaccines Administered 0 0 0 0 0 Number of Outpatient Cases (Excl. Vaccinations) 4 8 11 37,50% 174 93 -46,55% Volumes for Selected Acute Care Procedures/Diagnosis (Hospital Admissions Only) Medical Admissions: Abortions/Miscarriages 8 13 18 38,46% 113 122 7,96% Acute Bronchitis 20 15 6 -60,00% 149 164 10,07% Acute Myocardial Infarctions 12 6 8 33,33% 131 95 -27,48% Depression 83 71 81 14,08% 914 919 0,55% Gastroenteritis Infections 78 91 90 -1,10% 969 942 -2,79% Normal Deliveries 17 17 21 23,53% 187 222 18,72% Pneumonia 107 80 47 -41,25% 940 975 3,72% Septicaemia/Sepsis 81 78 95 21,79% 871 984 12,97% Strokes 6 9 7 -22,22% 199 165 -17,09% Haemorrhagic 2 0 4 29 25 -13,79% Ischaemic 3 1 1 0,00% 87 71 -18,39% Not specified as haemorhage or infarction 0 5 0 -100,00% 25 20 -20,00% Transient ischaemic attacks 1 3 2 -33,33% 55 49 -10,91% Occlusion of cerebral and precerebral arteries 0 0 0 3 0 -100,00% Surgical Admissions: Arthroscopy Knee 8 12 15 25,00% 118 125 5,93% Arthroscopy Shoulder 2 1 0 -100,00% 19 22 15,79% Caesarean Sections 50 62 41 -33,87% 729 629 -13,72% Cardiac Catheterization Procedures 0 0 0 0 0 Cardiac EPS and Ablation 0 0 0 0 0 Cataract Surgery 0 0 0 0 0 Cholecystectomies 12 8 15 87,50% 118 129 9,32% Circumcisions 1 3 2 -33,33% 28 19 -32,14% Colonoscopies 48 44 40 -9,09% 423 575 35,93% Coronary Artery Bypass Grafts 0 0 0 0 0 Cystoscopies 21 22 31 40,91% 286 321 12,24% Gastroscopies 95 88 72 -18,18% 877 1 010 15,17% Elective Hip Replacements 3 6 2 -66,67% 50 37 -26,00% Emergency Hip Replacements 1 2 1 -50,00% 15 15 0,00% Hysterectomies 17 20 8 -60,00% 168 185 10,12% Knee Replacements 2 1 4 >100.0% 36 34 -5,56% Myringotomies 0 0 0 0 0 Radical Prostatectomy 0 0 0 0 1 Spinal Fusions 3 10 5 -50,00% 81 86 6,17% Spinal Laminectomies 2 0 4 64 48 -25,00% Tonsil & Adenoid Surgery 0 0 0 5 4 -20,00% Transurethral Resection of Prostate (TURP) 7 3 12 >100.0% 78 76 -2,56% Valve Replacement (AVR) 0 0 0 0 0 Valve Implantation (TAVI) 0 0 0 0 0 INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL MEDICLINIC NEWCASTLE Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Aug '24 Sep '24 Oct '24 Total Total Trend Volumes for Selected Chronic Diseases Hypertension 361 322 371 15,22% 3 940 4 310 9,39% Diabetes Mellitus - Type 1 33 25 31 24,00% 308 330 7,14% Diabetes Mellitus - Type 2 136 113 137 21,24% 1 548 1 559 0,71% Hyperlipidaemia 134 124 139 12,10% 1 553 1 622 4,44% Asthma 84 81 59 -27,16% 733 768 4,77% Coronary Artery Disease 49 41 40 -2,44% 482 559 15,98% Cardiac Failure 85 73 98 34,25% 1 076 1 034 -3,90% Hypothyroidism 42 31 34 9,68% 343 400 16,62% Epilepsy 60 65 72 10,77% 629 760 20,83% COPD 43 30 27 -10,00% 399 425 6,52% Rheumatoid Arthritis 10 9 19 >100.0% 151 176 16,56% Tuberculosis 5 11 19 72,73% 144 119 -17,36% HIV 86 93 109 17,20% 915 773 -15,52% Malaria 0 0 0 1 2 100,00% Hepatitis A,B,C,E 4 1 6 >100.0% 105 51 -51,43% Pertussis 0 0 0 2 1 -50,00% Measles 1 0 0 1 1 0,00% Meningococcal Meningitis 0 0 0 0 1 Age Population Profile Neonates [0-28 days] 13 9 8 -11,11% 142 137 -3,52% Infants [29 days - 1 year] 13 15 11 -26,67% 167 171 2,40% Children [>1 years - 12 years] 89 87 65 -25,29% 871 857 -1,61% Adolescents [13 years - 18 years] 40 37 39 5,41% 460 483 5,00% Adults [>18 years - 64 years] 712 719 723 0,56% 8 246 8 604 4,34% Geriatrics [>65 years] 162 165 184 11,52% 2 076 2 167 4,38% Body Mass Index (BMI) Categories Underweight (BMI ≤ 18.5) 12 14 11 -21,43% 162 180 11,11% Normal Weight (18.5 < BMI ≤ 25.0) 122 118 142 20,34% 1 649 1 532 -7,10% Overweight (25.0 < BMI ≤ 30.0) 202 172 175 1,74% 2 209 2 149 -2,72% Obese (30.0 < BMI ≤ 40.0) 245 264 253 -4,17% 2 981 2 966 -0,50% Morbidly Obese (BMI > 40.0) 88 85 108 27,06% 965 1 053 9,12% Unclassified 143 156 159 1,92% 1 519 2 094 37,85% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL PATIENT SAFETY INFORMATION Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Aug '24 Sep '24 Oct '24 Total Total Trend Overall Patient Safety Reporting Indicators Number of Patient Days * 4 656 4 329 4 452 2,84% 54 265 54 572 0,57% Serious Reportable Events (SRE) 4 5 6 20,00% 90 91 1,11% Rate per 1,000 Patient Days 1,66 0,86 1,16 1,35 16,68% 1,66 1,67 0,54% Harm Levels Near Misses per 1,000 PD 0,43 0,92 0,67 -27,07% 1,38 1,26 -8,52% No Harm Events per 1,000 PD 13,53 6,93 11,01 58,82% 9,58 10,02 4,60% Low Harm Events per 1,000 PD 5,58 4,16 3,82 -8,16% 5,18 4,07 -21,44% Moderate Harm Events per 1,000 PD 2,79 2,77 2,92 5,34% 2,51 3,06 22,10% Severe Harm Events per 1,000 PD 0,21 0,23 0,00 -100,00% 0,17 0,07 -55,81% Events Resulting in Death per 1,000 PD 0,21 0,46 0,90 94,47% 1,09 1,25 14,61% Surgical Safety Ward based checks (%) 82% 88% 85% -3,26% 88% 84% -4,95% Handover from ward to theatre staff (%) 100% 100% 100% 0,00% 100% 100% 0,28% Sign in Step (%) 100% 93% 98% 4,76% 96% 96% -0,10% Time out Step (%) 98% 93% 95% 2,70% 94% 96% 2,30% Sign out Step (%) 96% 100% 92% -8,00% 95% 94% -1,05% Theatre based checks (%) 99% 96% 96% 0,75% 96% 97% 0,38% Never Events Reported Never Events Reported 0 0 0 1 0 -100,00% Rate per 1,000 Patient Days 0,00 0,00 0,00 0,00 0,02 0,00 -100,00% Foreign Object(s) Left Behind in Patient 0 0 0 0 0 Incorrect Patient (Correct Surgery) 0 0 0 0 0 Incorrect Surgery (Correct Patient) 0 0 0 0 0 Incorrect Prosthesis/Implant 0 0 0 0 0 Surgery On Wrong Side/Site Performed 0 0 0 1 0 -100,00% Never Events Other 0 0 0 0 0 Unrecognized Abdominopelvic Accidental Puncture/Lacerations 0 0 0 3 1 -66,67% Number of Abdominopelvic Surgery Cases 232 255 225 -11,76% 2 673 2 905 8,68% Rate per 1,000 Cases 1,06 0,00 0,00 0,00 1,12 0,34 -69,33% * Patient Days per month reported on Invoice Date Medication Errors Number of Medication Errors 6 0 0 64 46 -28,13% Rate per 1,000 Patient Days 1,07 1,29 0,00 0,00 1,18 0,84 -28,53% Prescription Errors per 1,000 PD 0,00 0,00 0,00 0,06 0,05 -0,56% Dispensing Errors per 1,000 PD 0,21 0,00 0,00 0,22 0,15 -33,71% Administration Errors per 1,000 PD 1,07 0,00 0,00 0,90 0,64 -28,97% Number of Falls (with/without injuries) 7 5 3 -40,00% 80 65 -18,75% Falls Rate per 1,000 Patient Days 1,26 1,50 1,16 0,67 -41,66% 1,47 1,19 -19,21% Number of Falls (with injuries) 0 2 0 -100,00% 15 11 -26,67% Rate per 1,000 Patient Days 0,00 0,46 0,00 -100,00% 0,28 0,20 -27,08% Hospital Associated Skin Lesions 3 1 4 >100.0% 27 34 25,93% Rate per 1,000 Patient Days 0,64 0,23 0,90 >100.0% 0,50 0,62 25,22% Hospital Associated Pressure Injuries 0 3 1 -66,67% 24 20 -16,67% Pressure Injuries Rate per 1,000 Patient Days 0,34 0,00 0,69 0,22 -67,59% 0,44 0,37 -17,14% Pressure Injuries (Grade 1) 0 0 0 6 2 -66,7% Pressure Injuries (Grade 2) 0 2 1 -50,00% 17 12 -29,4% Pressure Injuries (Grade 3) 0 0 0 0 0 Pressure Injuries (Grade 4) 0 0 0 0 0 Pressure Injuries (Unstageable / Unclassified) 0 0 0 0 0 Suspected Deep Tissue Injury 0 1 0 -100,0% 1 6 >100.0% Pressure Injuries (Grade 1) per 1,000 PD (n) 0 (0) 0 (0) 0 (0) 0,11 0,04 -66,85% Pressure Injuries (Grade 2) per 1,000 PD (n) 0 (0) 0,46 (2) 0,22 (1) -51,38% 0,31 0,22 -29,81% Pressure Injuries (Grade 3) per 1,000 PD (n) 0 (0) 0 (0) 0 (0) 0,00 0,00 Pressure Injuries (Grade 4) per 1,000 PD (n) 0 (0) 0 (0) 0 (0) 0,00 0,00 Pressure Injuries (Unstageable / Unclassified) per 1,000 PD (n) 0 (0) 0 (0) 0 (0) 0,00 0,00 Suspected Deep Tissue Injury per 1,000 PD (n) 0 (0) 0,23 (1) 0 (0) -100,00% 0,02 0,11 >100.0% Number of IV Line Harm Cases 10 8 9 12,50% 133 99 -25,56% Rate per INFORMATION 1,000 AND DATAPatient DaysIN THIS DOCUMENT SHOULD BE TREATED EMBODIED 2,25 AS CONFIDENTIAL 2,15 1,85 2,02 9,39% 2,45 1,81 -25,98% ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL INFECTION PREVENTION & CONTROL MEDICLINIC NEWCASTLE Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Aug '24 Sep '24 Oct '24 Total Total Trend Total Actions 199 1 038 789 -23,99% Total Opportunities 226 1 199 921 -23,19% Hand Hygiene Compliance Rate (%) 88,05% 87,62% 85,59% -2,31% Healthcare Associated Infections 1 4 8 100,00% 51 35 -31,37% HAI Rate per 1,000 Patient Days 0,58 0,21 0,92 1,80 94,47% 0,94 0,64 -31,76% Device Associated Infections (Overall Indicators) Ventilator Associated Pneumonia Infections 0 1 0 -100,00% 8 2 -75,00% Ventilator Days 66 107 87 -18,69% 1 695 1 063 -37,29% VAP Rate per 1,000 Ventilator Days 3,08 0,00 9,35 0,00 -100,00% 4,72 1,88 -60,14% Central Line Associated Bloodstream Infections 0 0 2 5 4 -20,00% Central Line Days 396 558 501 -10,22% 5 191 6 134 18,17% CLABSI Rate per 1,000 Central Line Days 0,45 0,00 0,00 3,99 0,96 0,65 -32,30% Catheter Associated Urinary Tract Infections 0 0 1 6 1 -83,33% Catheter Days 692 842 750 -10,93% 9 683 11 021 13,82% CAUTI Rate per 1,000 Catheter Days 0,34 0,00 0,00 1,33 0,62 0,09 -85,36% Surgical Site Infections (Overall & Targeted Indicators) Surgical Site Infections 0 1 3 >100.0% 24 17 -29,17% Operative Procedures 473 467 462 -1,07% 5 165 5 605 8,52% SSI Rate per 1,000 Operative Cases 3,12 0,00 2,14 6,49 >100.0% 4,65 3,03 -34,73% Surgical Site Infections (Abdom. Hysterectomies) 0 0 0 4 1 -75,00% Rate per 1,000 Hysterectomies 0,00 0,00 0,00 23,81 5,41 -77,30% Surgical Site Infections (CABG) 0 0 0 0 0 Rate per 1,000 CABG Surgical Site Infections (Knee Replacements) 0 0 0 0 0 Rate per 1,000 Knee Replacements 0,00 0,00 0,00 0,00 0,00 Surgical Site Infections (Hip Replacements) 0 0 0 1 0 -100,00% Rate per 1,000 Hip Replacements 0,00 0,00 0,00 20,00 0,00 -100,00% Surgical Site Infections (Caesarean Sections) 0 0 0 3 0 -100,00% Rate per 1,000 Caesarean Sections 0,00 0,00 0,00 4,12 0,00 -100,00% Alert Organisms Methicillin Resistant Staph. Aureus (MRSA) MRSA (Healthcare Associated) 0 0 0 1 0 -100,00% MRSA (Community & Healthcare Associated) 0 1 1 0,00% 15 9 -40,00% Health. Ass. MRSA Rate per 100,000 PD's 0,00 0,00 0,00 1,84 0,00 -100,00% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL MEDICLINIC NEWCASTLE Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Aug '24 Sep '24 Oct '24 Total Total Trend Extended Spectrum Beta Lactamase (ESBL) ESBL (Healthcare Associated) 0 0 3 36 25 -30,56% ESBL (Community & Healthcare Associated) 21 29 28 -3,45% 358 359 0,28% Health. Ass. ESBL Rate per 100,000 PD's 0,00 0,00 67,39 66,34 45,81 -30,95% Carbapenem Resist. Organisms (Comm. & Health.): Pseudomonas Aeruginosa 0 4 2 -50,00% 18 20 11,11% Acinetobacter baumannii 0 0 0 14 13 -7,14% Enterobacteriaceae (CRE): NDM-1 2 0 2 29 53 82,76% OXA-48 7 5 10 100,00% 52 100 92,31% VIM 1 0 0 1 2 100,00% KPC 0 0 0 0 2 IMP 0 0 0 0 0 GES 0 0 0 0 0 Vancomycin Resistant Enterococci VRE (Healthcare Associated) 0 0 0 0 0 VRE (Community & Healthcare Associated) 0 0 0 1 1 0,00% Health. Ass. VRE Rate per 100,000 PD's 0,00 0,00 0,00 0,00 0,00 Clostridium difficile (C. Diff) C. Diff. (Healthcare Associated) 3 0 1 5 12 >100.0% C. Diff. (Community & Healthcare Associated) 4 1 3 >100.0% 18 28 55,56% Health. Ass. C. Diff. Rate per 100,000 PD's 0,64 0,00 0,22 0,09 0,22 >100.0% Antimicrobial Stewardship Inappropriate Prophylaxis Cases 4 0 1 31 30 -3,23% Theatre Cases with Prophylaxis 177 209 187 -10,53% 2 176 2 260 3,86% Inappropriate Prophylaxis Rate (%) 2,26% 0,00% 0,53% 1,42% 1,33% -6,82% Prolonged/Extended Treatment Cases 4 3 5 66,67% 50 39 -22,00% Exposures of Selected Antimicrobials 1 212 1 177 1 203 2,21% 14 390 15 039 4,51% Prolonged Treatm. Rate per 1,000 Exposures 3,30 2,55 4,16 63,06% 3,47 2,59 -25,37% Total Antimicrobial Usage (DDD's) 3 316 3 162 3 149 -0,42% 41 364 41 169 -0,47% Total Antimicrobial Usage Rate per 100 PD's 73,73 71,22 73,04 70,72 -3,17% 76,23 75,44 -1,03% Targeted Defined Daily Doses (DDD's) Utilisation: Polymyxin (Colistin and Polymyxin B) (DDD's) 8 16 8 -49,66% 271 177 -34,73% Rate per 100 Patient Days 0,17 0,38 0,18 -51,05% 0,50 0,32 -35,10% Carbapenems (DDD's) 271 288 305 5,89% 4 095 4 055 -0,96% Rate per 100 Patient Days 5,82 6,66 6,85 2,97% 7,55 7,43 -1,52% Third Generation Cephalosporins (DDD's) 578 338 381 12,74% 5 131 5 474 6,69% Rate per 100 Patient Days 12,40 7,80 8,55 9,63% 9,45 10,03 6,09% Fluoroquinolone (DDD's) 221 163 249 52,61% 2 626 2 547 -2,99% Rate per 100 Patient Days 4,75 3,77 5,59 48,39% 4,84 4,67 -3,54% Echinocandins (DDD's) 42 141 83 -41,19% 818 1 227 49,94% Rate per 100 Patient Days 0,91 3,25 1,86 -42,82% 1,51 2,25 49,10% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL CLINICAL EFFECTIVENESS INDICATORS Month-on-Month Comparisons 12 Month Rolling Comparisons Curr. Yr. Previous Current 24 Month Indicator Target Change (%) Change (%) Aug '24 Sep '24 Oct '24 Total Total Trend Overall Mortality Indicators Number of Inpatient Mortalities 10 19 21 10,53% 211 232 9,95% Inpatient Mortality Rate (%) 1,08% 2,03% 2,27% 11,60% 1,95% 2,07% 5,81% Number of Inpatient Adult Mortalities 8 18 20 11,11% 203 225 10,84% Inpatient Adult Mortality Rate (%) 1,02% 2,24% 2,44% 8,94% 2,17% 2,30% 6,09% Hospital Standardized Adult Mortality Index 1,00 0,44 0,93 0,72 -22,87% 0,76 0,83 8,86% Number of Surgical Mortalities (Inpatients) 3 7 8 14,29% 69 77 11,59% Surgical Mortality Rate (%) 0,68% 1,46% 1,83% 25,56% 1,37% 1,40% 2,42% Number of Emergency Centre Mortalities 2 0 3 16 19 18,75% Emergency Centre Mortality Rate (%) 0,24% 0,00% 0,40% 0,15% 0,20% 31,06% Number of Patients Transferred In 8 5 4 -20,00% 30 45 50,00% Mortalities on Transferred In Patients 0 0 0 2 1 -50,00% Mortality Rate on Transferred In Patients (%) 0,00% 0,00% 0,00% 6,67% 2,22% -66,67% Number of Patients Admitted via EC 364 342 371 8,48% 4 381 4 405 0,55% Mortalities on Patients Admitted via EC 3 9 15 66,67% 138 139 0,72% Mortality Rate on Patients via EC (%) 0,82% 2,63% 4,04% 53,64% 3,15% 3,16% 0,18% Maternal Mortality (WHO Definition) 0 1 0 0 1 1 0,00% Maternal Mortality Rate per 100,000 Live Births *126.83 1587,30 0,00 0,00 117,23 123,46 5,31% *As Per WHO 2020 benchmark Adult Critical Care Mortality Indicators Currently the SAPS3 model is used to measure critical care outcomes. Number of Cases Captured on SAPS3 36 31 46 48,39% 503 534 6,16% Number of Critical Care Mortalities 4 10 16 60,00% 127 156 22,83% Crude Mortality Rate - Critical Care (%) 11,11% 32,26% 34,78% 7,83% 25,25% 29,21% 15,70% Number of Expected Mortality Cases 6 5 8 71,67% 102 98 -4,40% Expected Mortality Rate - Critical Care (%) 16,16% 14,62% 16,91% 15,69% 20,35% 18,33% -9,95% Mortality Index (SAPS3) 1,00 0,69 2,21 2,06 -6,80% 1,24 1,59 28,49% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL  Month-on-Month Comparisons 12 Monthly Comparisons Network Curr. Yr. Previous Current 24 Month Indicator Change (%) Change (%) 2022 Aug '24 Sep '24 Oct '24 Total Total Trend Neonatal Critical Care Indicators The Vermont Oxford Network database is currently used to measure outcomes in the Neonatal Critical Care Unit Please note that the figures are reported on date of birth and therefore will change retrospectively when cases are captured on VON after discharge. Expanded Birth Weight Indicators (All Eligible Cases) Number of Cases Captured on VON 0 0 0 110 66 -40,00% Number of Mortality Cases 0 0 0 9 3 -66,67% Number of Mortality Cases (Excl. Early Deaths) 0 0 0 8 3 -62,50% Mortality Rate (%) 2,9% 8,18% 4,55% -44,44% Death or Morbidity Cases 0 0 0 9 5 -44,44% Death or Morbidity Rate (%) 10,8% 8,18% 7,58% -7,41% Any Late Infections 0 0 0 1 1 0,00% Any Late Infection Rate (%) 2% 1,02% 1,64% 60,66% Necrotizing Enterocolitis 0 0 0 0 1 Necrotizing Enterocolitis (%) 1% 0,00% 1,52% Chronic Lung Disease (< 33 weeks gestation) 0 0 0 0 0 Chronic Lung Disease (%) 21,2% 0,00% 0,00% Pneumothorax Cases 0 0 0 0 0 Pneumothorax (%) 3,3% 0,00% 0,00% Severe Intraventricular Hemorrhage (IVH) 0 0 0 0 0 Severe IVH Rate (%) 4,2% 0,00% 0,00% Cystic Periventricular Leukomalacia (PVL) 0 0 0 0 0 Cystic PVL Rate (%) 1,2% 0,00% 0,00% Retinal Examination (VLBW) 0 0 0 0 0 Retinal Examination (VLBW) (%) 87% 0,00% 0,00% Severe Retinopathy of Prematurity (ROP) 0 0 0 0 0 Severe ROP Rate (%) 5,2% INFORMATION AND DATA EMBODIED IN THIS DOCUMENT SHOULD BE TREATED AS CONFIDENTIAL ANALYTICS AND REPORTING DEPARTMENT - MEDICLINIC INTERNATIONAL MEDICLINIC NEWCASTLE 12 Monthly Comparisons Curr. Yr. Previous Current 24 Month Indicator Weight Change (%) Change (%) Aug '24 Sep '24 Oct '24 Total Total Trend Obstetric Indicators Number of Deliveries 63 75 59 -21,33% 876 818 -6,62% Number of Live Births 63 73 56 -23,29% 853 810 -5,04% Caesarean Section (%) 73,0% 78,7% 66,1% -15,97% 78,8% 73,0% -7,34% Weighted Adverse Outcome Score (WAOS) 0,85 1,03 0,73 0,93 27,12% 1,93 0,62 -68,09% Adverse Outcome Index (AOI) 4,8% 2,7% 3,4% 27,12% 3,5% 2,3% -34,36% Severity Index (SI) 21,7 27,5 27,5 0,00% 54,7 26,6 -51,39% Number of Neonatal Mortalities 400 0 0 0 0 0 Neonatal Mortality Rate per 1,000 Live Births 0,00 0,00 0,00 0,00 0,00 Delivery Patient Mortalities 750 0 0 0 1 0 -100,00% Delivery Mortality Rate per 100,000 Live Births 0,00 0,00 0,00 117,23 0,00 -100,00% Uterine Ruptures 100 0 0 0 0 0 Uterine Ruptures (%) 0,00% 0,00% 0,00% 0,00% 0,00% Unplanned Maternal Admissions to ICU 65 0 0 0 4 2 -50,00% Unplanned Maternal Admission to ICU (%) 0,00% 0,00% 0,00% 0,46% 0,24% -46,45% Birth Trauma Cases (≥37wks, ≥2.5kg) 60 0 0 0 0 0 Birth Trauma (%) 0,00% 0,00% 0,00% 0,00% 0,00% Unanticipated Operative Procedures 40 0 0 0 0 0 Unanticipated Operative Procedure (%) 0,00% 0,00% 0,00% 0,00% 0,00% Neonatal Admissions to NICU (≥37wks, ≥2.5kg, ≥24h) 35 0 1 1 0,00% 8 3 -62,50% Neonatal Admissions to NICU (%) 0,00% 1,33% 1,69% 27,12% 0,91% 0,37% -59,84% APGAR score